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Updated: Jun 4, 2026

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Systems for long-segment percutaneous spinal fixation: technical feasibility for various indications.

Benjamin Blondel1, Stéphane Fuentes, Patrick Tropiano

  • 1Université de la Méditerranée, Service d'orthopédie, CHU Nord, Marseille, France.

Acta Neurochirurgica
|March 4, 2011
PubMed
Summary

Long-segment percutaneous fixation is a feasible technique for spinal stabilization across various conditions. This minimally invasive approach significantly improves pain and spinal deformities, offering a promising alternative to traditional methods.

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Area of Science:

  • Spinal Surgery
  • Minimally Invasive Techniques
  • Orthopedic Instrumentation

Background:

  • Rapid advancements in spinal percutaneous fixation methods.
  • Limited research on long-segment instrumentation techniques.

Purpose of the Study:

  • To evaluate the technical feasibility of long-segment percutaneous stabilization for diverse spinal pathologies.

Main Methods:

  • Posterior percutaneous long-segment fixation in 24 patients (mean age 58).
  • Indications included trauma, infection, tumors, and degenerative scoliosis (T5-L4).
  • Anterior stabilization with balloon kyphoplasty or anterior approach was used when needed.

Main Results:

  • Average construct involved four spinal levels (T3-S1).

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  • No extra-pedicular misplacements occurred; minor technical issues had no clinical impact.
  • Significant pain reduction observed in all patients.
  • Conclusions:

    • Long-segment percutaneous fixation is technically feasible and improves spinal deformities.
    • Combined with balloon kyphoplasty, it shows reduced correction loss without mandatory posterior fusion.
    • Further long-term studies are needed to confirm safety and efficacy.